The University of the State of New York

/ NYSED-2H-2 (09)
THE STATE EDUCATION DEPARTMENT / Collection Year 2009-10
Office of Research and Information Systems / Data Period Fall 2009
Higher Education Data System / DUE DATE: May 1, 2010

ENROLLMENT OF COLLEGE STUDENTS WITH DISABILITIES

FALL 2009

Institution Name SEDCODE:
  • Institutions are expected to submit forms electronically using the Microsoft Access forms available from the ORIS web site at . Most forms are available both as paper forms and as electronic forms (Microsoft Access) with built in edits. Electronic forms must first be downloaded in order to enter data and then returned by e-mail to . Three forms are only available in paper format (Word, PDF): CurrentCollege Catalog (CATALOG), Audited Financial Statement ( F.AUDIT) and Coordinator’s Survey (NYSED-SUR1).
  • Return completed paper forms by:

Mail: Or Fax:

NYS Education Department 518-474-1907

Office of Research and Information Systems

Room 966EducationBuilding Annex

Albany, NY12234

  • With the exception of the Bundy forms (NYSED-2) do not make a duplicate paper submission of an electronic data submission. Independent institutions participating in the Bundy program must provide a paper copy printed from their electronic submission in order to affix the required notarized signature and seal.
  • Retain a copy of the completed form in your files in case there’s a need for clarification.
  • If you anticipate a delay in returning this form, request an extension in writing by e-mail, fax or mail stating the reason for the delay and the anticipated submission date.
  • If you have questions regarding completion of the form, please contact the Office of Research and Information Systems at:

E-Mail:

Fax:(518) 474-1907

Phone:(518) 474-5091

IMPORTANT: FOR PAPER SUBMISSIONS PLEASE RETURN THIS COVER PAGE AND ALL PAGES EXCEPT INSTRUCTIONS EVEN IF THEY CONTAIN NO DATA.
The University of the State of New York
THE STATE EDUCATION DEPARTMENT
Office of Research and Information Systems
Higher Education Data System / DUE DATE: May 1, 2010

Form Processing Information

Form: NYSED-2H-2 / ENROLLMENT OF COLLEGE STUDENTS WITH DISABILITIES
SEDCODE:
Institution Name:

Respondent Information (To better direct our questions about your data, please enter the name of the person who aggregated the majority of the data for this form for this campus.)

Name:
Title:
Telephone: ( ) Ext. / Facsimile No.: ( ) Ext.
E-Mail Address:

TOTAL -- (Check box if all applicable branches included)

Otherwise List Branches Below

List Branches Included: / List Applicable Branches not included:

Time Required to Retrieve Information from Files and Complete the Submission of this Form

Hours spent by all staff (whole numbers)

Notes and Explanations Regarding Data Provided and/or Comments about This Form and Its Completion.

IMPORTANT: PLEASE RETURN ALL PAGES EXCEPT INSTRUCTIONS EVEN IF THEY CONTAIN NO DATA
The University of the State of New York / DUE DATE: May 1, 2010
THE STATE EDUCATION DEPARTMENT
Office of Research and Information Systems
Higher Education Data System

ENROLLMENT OF COLLEGE STUDENTS WITH DISABILITIES, FALL 2009

If your institution does not maintain records on all students with disabilities, report those who have identified themselves to your institution as having a disability requiring some special consideration or assistance. If you are reporting based on this functional definition, please check this box.

If this institution does not have any students with disabilities enrolled in Fall 2009, please check here.

Part A: Counts of Students with Disabilities: Count each student in every category they fit.
Institution Name:
Category of Disability / Line No. / Number of Degree-Credit Students
(Full-time and Part-time)
Type of Enrollment / Total
(Sum of columns 1 and 2)
(3)
In
Occupationally –Specific Programs
(1) / In All Other
Programs
(2)
Learning Disabilities / 01
Mobility Impairments
Wheelchair / 02
Other assistive device / 03
No assistive device / 04
Subtotal (lines 2+3+4) / 05
Visual Impairments
Legally blind / 06
Other visually impaired / 07
Subtotal (lines 6+7) / 08
Acoustical Impairments
Legally deaf / 09
Other acoustically impaired / 10
Subtotal (lines 9+10) / 11
Multiple Disabilities*** / 12
Other Health Impairments
Mental health impairment / 13
Speech impairment / 14
Traumatic brain injury / 15
Orthopedic impairment / 16
Alcohol/substance abuse recovery / 17
Other / 18
Subtotal (sum lines 13 - 18) / 19
UNDUPLICATED TOTAL
(Count each student in the total only once) / 20
*** Count students with multiple disabilities on line 12 and in every category that they fit.
DUE DATE: May 1, 2010

ENROLLMENT OF COLLEGE STUDENTS WITH DISABILITIES, FALL 2009

INSTRUCTIONS:

A Web based directory of services routinely available to students and parents will include this information. Please complete this page in language useful to those groups.

21. Disabilities Contacts

TTY (if any) a: ______

Second TTY b: ______

Website URL c: ______

22. Number of staff who work in your disability services office:
Full-time ____Part-time ____

  1. Services of Interest to Prospective Students:

Statement to be included in a Directory of Services
All colleges are required by law to provide reasonable accommodations in the form of auxiliary aids and services for students with disabilities. These accommodations may include things such as:
taped texts Braille books assistive listening devices
notetakers large print materials videotext displays
interpreters talking calculators test accommodations
readers television enlargers
Each college will determine on a case-by-case and course-by-course basis whether a need exists, based on documentation, and what accommodation is appropriate.

Colleges may also provide other services that are particularly useful for students with disabilities. Please check services of this type currently offered by your college that prospective students may wish to know about:

___ Learning Disability Specialist___ Screening for Learning Disabilities

___ LearningResourceCenter___ Specialist in ADHD

___ Low Vision Specialist___ Tutoring Services

___ Diet Accommodations___ Assistive Technology

___ Specialized Gym Equipment___ Student Support Groups ___ Transportation on Campus ___ Internships ___ Transitional Services from College to Employment ___ other, please specify:

DUE DATE: May 1, 2010

ENROLLMENT OF COLLEGE STUDENTS WITH DISABILITIES, FALL 2009

  1. Your admissions requirements (for all students)

(Check all that apply):

High school diploma/GED / High School diploma/GED or “ability-to-benefit” test
Rank in class / SAT/ACT scores / GRE scores
Essay / Campus visit / Personal interview
Other requirements - Please describe:
  1. What reasonable accommodations can you make for students with disabilities in the general admissions process? Please list processes or criteria and how you can adjust them:
  1. Campus orientation designed specifically for students with disabilities

(Check all that apply):

Accessibility tour
Transition program to orient students to campus life
Access to community resources to support students with disabilities
Emergency evacuation training
Self advocacy training
Other orientation - Please describe:

1